September 2012 Issue of Clinical Advisor

September 2012 Issue of Clinical Advisor

Clinical Feature

Vitamin D deficiency: Beyond bone health

Vitamin D promotes absorption of calcium in the intestine and maintains adequate serum phosphate and calcium concentrations.

Detection of hypoxemia: 
Visual observation 
versus pulse oximetry, Part 1

Early diagnosis is essential to providing treatment in infants with critical congenital heart disease.

What to do with a positive hepatitis C test

If the treatment goal of viral eradicatication cannot be met, strive to slow disease progression, lower risk of liver cancer, and improve quality of life.

Clinical Challenge

Presyncope coupled with an enlarged spleen suggests infection

A 69-year-old woman presents with night sweats, dizziness, fatigue and chronic pain in the upper abdomen.

Commentary

Help kids who are bullied or bullies

Bullying can begin as early as kindergarten, and it can affect all children regardless of race, gender and socioeconomic status.

Alternative Meds Update

Stinging nettle: Alternative treatment for BPH, osteoarthritis, other pro-inflammatory ailments

Stinging nettle has been used to treat arthritis and other inflammatory conditions since the 10th century.

Evidence-Based Medicine

Ulipristal acetate effective for women with symptomatic fibroids


Ulipristal acetate controls uterine bleeding and reduces discomfort associated with fibroids.

Legal Advisor

State Supreme Court strikes down Missouri malpractice liability cap

According to the decision, the cap "infringes on the jury's constitutionally protected purpose of determining the amount of damages sustained by an injured party."

Massachusetts enacts new malpractice program

The program allows clinicians to acknowledge making a mistake without it being used as an admission of liability.

Majority of Americans concerned about medical errors

Miscommunication among hospital staff was cited as the top reason why respondents believe most medical mistakes occur.

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